Scheduling Healthcare
     Scheduling Healthcare

As a patient, what I need is rapid treatment. Keeping to my deadlines is most important.

 

Efficient case management means good customer care; balanced resource utilization means sustained delivery.

Smooth management of treatment and care logistics is in the interest of recipients and suppliers of healthcare services.

Using computers that coordinate many medical resources rather than just the appointments will focus your processes on the real needs.

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What is Scheduling Healthcare?

Scheduling Healthcare is a collaborating group of companies that offers a clinical organization system (COS) and associated clinical process consulting as well as technical implementation support around the multi-resource framework hiveMED. The experts are optimally coordinated and work hand in hand. The international office is managed by qhit healthcare consulting in Basel/Switzerland.

What does Scheduling Healthcare offer?

Scheduling Healthcare takes care of the modernization of clinical processes in all healthcare organizations and the introduction of an IT system developed by the consortium to control all finite but scarce resources. Scalable modules of treatment logistics, medical process and standard management and medical control are used, which in their entirety represent the clinical organization system (COS).

What does COS do?

COS calculates and organizes all appointments and plans all resources and processes according to your needs. On request with full  automatic or "only" assisting. In milliseconds. It is designed for all health care providers and is eHealth-capable for intersectoral collaboration.

What is new about the COS system?

Today, planning systems are frequently not planning but only documenting the problems. Staff can hardly comprehend the complexity of the end-of-term hospitalization. Planning is therefore distributed among many employees. The COS completes these many competencies and creates an organization-wide or even organizational-spanning algorithm. This change takes place moderately and gently with the help of the employees. The following applies: COS always finds the optimal term constellations and takes into account the DRG framework if applicable in your country. Performance documentation is a logical result without further effort. In summary, one can say that the logic is now sitting in the system and no longer in front of it.

What exactly does that mean?

COS determines the resources appropriate for events, such as indications or prescriptions, taking into account patient ’s requirements

  • persons
  • rooms
  • devices
  • logical time chains (patient transport, for example)

by the calculation of

  • roles
  • skills
  • characteristics
  • planned availability and

actual availability as

  • the geographical proximity of the resources to their respective follow-up dates
  • partial participation of individual resources at events or even
  • participation without personal presence (video conferencing, laboratory tests, waypoint calculation etc.). COS created
  • Capacity planning with still unknown detail parameters or if dates are still long in the future (yearly control, elective)

COS finds

  • optimal appointments and
  • optimal resources such as personnel rooms and equipment.It can also find
  • optimal dates with respect to the requirements when the operation is performed e.g. 2 hours of scheduling, your operating plan has „only“ a slot of 1:58 hours.
 
Due to the above and by including additional information, e.g. Device maintenance intervals, etc. compared to classical planning, COS is also compared to classical planning and is capable of identifying optimal replacement personnel in the event of a personnel breakdown or in the short term, emergency patients.

Are clinical pathways, standards, and schemata supported?

Yes sure! The Integrated Process Management Cockpit PMC forms the procedural basis of COS. It is designed for the development, visualization, and control of clinical processes - semi or completely automatically, depending on the wishes of the hospital. With the PMC, individual process deviations or subprocesses are also initiated, for example, following a complication or new diagnosis. Whether you are fixing treatment standards for whole hospitalizations or only individual steps, you can decide for yourself according to your needs. Whether you integrate the PMC clinically as a surface on top of the EMR, or "in the background" only to the process managers (senior physicians, leading nurses, senior therapists, etc.) depends on your organizational strategy and the specific nature of your clinical systems.

Are online patient services and mobile services possible?

Yes, sure. For the world of apps and the web, the solution is ideal. Patients can view appointments, inquire or book appointments, without the patient data themselves leaving the clinical system. Does it work? Arrange a demonstration with us.

Can we prevent term collisions with COS?

Yes. The classical planning with the "collision course" of diagnostics therapy and care events due to information deficits, which is widely accepted, is absolutely anachronistic. COS helps you stop this scandalous mess.

Can you work with COS intersectionally?

Great! organization-spanning resource management is a common requirement in medicine. COS can fulfill this claim as a genuine 4.0 system, of course. Whether you need to consider the free times of a doctor's office at the clinic's scheduling or have to integrate into / out-sourced x-ray, dialysis department or others: the available technology makes it possible. Data protection is preserved.

Are there interfaces?

Yes! COS is open to any kind of goal-oriented interfaces. Moreover, COS has not been explicitly developed as a monolithic system. Hidden obstacles, for example exorbitantly high interface costs, are not with COS. Specialized standardized interface procedures, which are used internationally in medicine, are already implemented and can be used easily, especially the modern HL7 FHIR. So you can connect anything connectible: EMR, RIS, LIS, archive and so on.

Can you connect Outlook?

Yes! Outlook and other common calendars and time scheduling systems.

Can you connect Smartphone Calendars?

Yes!

Where can I see COS?

The system and the change management concepts for introduction can be easily presented and discussed with you via IP video conferencing (running on any SmartDevice, laptop, PC, Mac) or soon at IFAS / Zurich (Switzerland October 16) , WoHIT Barcelona (Spain November 16), ArabHealth / Dubai (UAE February 17), HIMSS / Orlando (USA February 17) and conhIT / Berlin (Germany April 17).

I'm missing a view thinks I need. What is in development ?

Operation scheduling, bed scheduling, surgery scheduling and so on, were the usual terminologies of scheduling. The true multi-resource management of COS does not need such categorizations. It computes disruptively all resources due to their characteristics and abilities in correlation with the requirements. A fractionation as before would be like old wine in new bottles and the opposite of disruptive. Now, unlike the hiveMED algorithm, it is not up humans to survey the 25,000 daily events with stationary patient coverage of a 500-bed hospital. For this reason, there are views of the data that correspond to the organizational needs and therefore essentially to the current system limits of operation planning, bed scheduling, consulting hours planning, etc. Even though these systems no longer have to exist - they can still exist for the time being. A question of the individual introduction concept. The new world has new rules making thinks easier. The complexity is handled by the system.

Is the system ready for 'medicine 4.0'?

The software used is already fully service-oriented, mobile and cloud-capable. It can be set up as a classic client / server installation and then evolve according to the needs of the hospital's direction medicine 4.0. However, it can also already be used today as software as a service in the sense of the 4.0 development. The core of the solution consists of an algorithm which can also be used in inventory systems for treatment logistics without the user interface. Thus the system already meets the coming characteristics of society 4.0, which is characterized by automation and dematerialization. By the way, acceleration of innovation is another feature and the COS is at the top of this transformation.

Is a gradual expansion possible?

Yes, it is even recommended, because the organizational changes are very significant for the employees. Modern processes seem like almost everyone - as long as he himself does not have to change his way of working. The Scheduling Healthcare Senior Consultants know this and moderate the change with sensitivity and intimate professional knowledge since they all come from health care professions themselves. This is the way to speak. The first step is always a technical one: calendar consolidation. In which further steps we are organizing, we recommend an individual potential analysis with the installation of the Quick Wins.

How much does a clinical organization system (COS) cost?

It costs much less than you save. Ok, that's what many have said. With COS it is also true. Depending on your needs, you can choose a classic software licensing model or, if it is commercially viable in your country and organization, the transparent pay per case model. In this case, you get the software provided and pay only the usage per case. The highly recommended measures of organization development and process and change management are easy to finance from the freed resources in your organization, which they can now use again productively. This will also alleviate your strength.

Is the use of the new COS system economically viable?

The ROI is achieved through appropriate pricing in the first year. The process expenditures to be saved are, with consistent use of all possibilities in a 500-bed hospital with over one million US dollars annually. This sum is due to the fact that an average of 20 people have to deal with the planning of events on average per hospitalization, even if these events are almost identical to each other over 90% of the time.

Is there any economic benefit?

The potential for a macroeconomic effect is huge: with a little more automation than is usual today and by using the hiveMED algorithm, Germany alone can avoid about 2.2 billion US dollars in costs in the health system or make savings. A city like Munich, this alone is around 28 million dollars a year. In addition, care-free activity is free on the order of one full-time job per ward (25 beds). Of the 498,000 hospital beds in Germany, this means 19,920 nursing homes. The financial equivalent is an additional $ 802 million.

How are deviations from the standard handled?

In medicine, a lot of schematics are being worked out, which considerably simplify the planning of events and scheduling with multi-resource consideration. The COS Process Management Cockpit is available for documentation purposes. If deviating from the scheme, classic order entry regulations are used. However, unlike today, the appointment does not have to be assigned and communicated by hand in the functional site, for example, the X-ray department. Appropriate dates are proposed directly to the requester or the responsible station, or automatically registered according to the internal regulation. Our consultants ensure that the organizational change is designed in such a way that no project resistances interfere with the operation.

People are not machines. What about unpredictable emergencies?

Unplanned emergencies occur much more rarely than you think. And: in most emergencies, there is planning! However, the time that is available for emergency planning is often relatively short. The hiveMED algorithm does not matter whether it calculates weeks in advance or just minutes before an intervention resource. In any case, he finds the optimal solution for the upcoming task of treatment logistics and resource management. In milliseconds. Since computers do not experience any time pressure, they are not only always equally fast, but also in an emergency, they also work in the same quality. In summary: Emergencies are clinical everyday life and no problem for this clinical system, not even a challenge.

What can COS do for rebuilding and new construction projects for hospitals?

In the hospital day, safety and reliability are important quality features. During dislocation, arrival, and new arrivals, there is ample disorder in hospital operations. This inevitably endangers patient safety. The risks must be minimized. COS manages time-controlled building-related changes of paths and rooms, as well as entire departments and buildings. With the use of COS, the hospital staff takes care of their core business, the clinical processes and not additional building logistics.

Can our patient transport system be connected?

Yes, sure. All clinical systems that manage appointments and events in any form are tied up. Without clinical event no transport! This fixed connection is taken into account in COS, taking into account the individual transport status of the patient - whether he or she finds the path to the examination alone or has to be dispensed with as a highly complex, in-house intensive care transport. In any case, the separate assignment of the transport to the respective clinical event in most cases by COS is an activity of yesterday.

Milestone for radiology appointments?

Most appointments in a clinic are radiology appointments. They are well suited for a Quick-Win COS project. For example, the goal could be to automatically plan 50% of all patient-related events in diagnostic and interventional radiology based on an algorithm that takes patient needs into account, avoiding event collisions with other clinical and private events, is DRG-compliant if needed, and is an optimal Resource management.

What is the best introduction strategy for COS?

The scheduling healthcare process consultants will probably advise you to gradually expand the COS. Big Bang changes from the perspective of change management are difficult to achieve in this environment. COS does not compete but in addition to your clinical systems. Accordingly, you and the existing system suppliers have to be clarified, for which the organizational control functions the COS assumes sovereignty, and on which other subjects is the sovereignty of the stock systems such as EMR, RIS, LIS. 

 

 

 

schedulinghealthcare.com made with  in Basel.
More informations about COS: backoffice@qhit.ch

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